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Kidney Dye X-Ray With Drip and Tomograms

Tennessee rates for HCPCS 74415

X-ray study of the kidneys, ureters and bladder using contrast dye given into a vein as a drip or a rapid injection, with pictures taken as the kidneys clear the dye into the urine. It also includes tomograms, images focused on one layer of the kidney at a time, which show the kidney tissue more clearly than the plain views.

Rates data updated October 2026.

How much does Kidney Dye X-Ray With Drip and Tomograms cost?

$178

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $302 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$129 to $1,023
FacilityA hospital or hospital-owned outpatient department$302$275 to $407

How much rates vary

Facilitymedian $302 · 10th to 90th $251 to $501Professionalmedian $170 · 10th to 90th $115 to $1,318
$100$200$500$1Kfacility $302professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$19.95
Typical High
$23.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$151.36
Typical High
$302.00
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$29.51
Typical High
$50.12
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$128.82
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$302.00
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$134.90
Typical High
$281.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$26.92
Typical High
$50.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$107.15
Typical High
$245.47
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,318.26
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$870.96
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$151.36
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$26.92
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$125.89
Typical High
$239.88
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$25.70
Typical High
$30.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$102.33
Median
$102.33
Typical High
$120.23

Where Tennessee sits

The same service costs 3.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 23rd of 51

$178

AK $447FL $117

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.